Blue Mountain Family Health
LBN: Blue Mountain Family Health Pllc
Blue Mountain Family Health is an health care organization with primary practice located at 1268 Bridge St , Clarkston WA 99403-2219. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Blue Mountain Family Health Pllc can be contacted via phone (509) 751-5500, or through Black, Kevin James via phone (509) 751-5500.
Contact Information
Primary practice address
1268 Bridge St
Clarkston WA 99403-2219
Phone: (509) 751-5500
Fax: (509) 751-1059
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD00045393 | Washington |
Profile Details
| NPI number | 1679649248 |
|---|---|
| LBN Legal business name | Blue Mountain Family Health Pllc |
| DBA Doing business as | Blue Mountain Family Health |
| Authorized official | Black, Kevin James |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 27th, 2006 |
| Last updated | May 21st, 2024 - about 7 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679649248 | NPPES |
| Washington | MEDICAID | 7130354 | |
| Washington | MEDICAID | 807278700 | |
| Washington | MEDICAID | 80745000 | |
| Washington | MEDICAID | 8439333 |
Popular Providers
-
Tri-State Memorial Hospital
1221 Highland Ave , Clarkston WA 99403-2829 -
Pleasant Hill Family Practice,Pc
5148 E University Ave , Pleasant Hill IA 50327-7008 -
Hni Medical Services Of Washington, Pc
1242 11Th St , Clarkston WA 99403-2815 -
Donald J. Greggain, M.D. Ps
1271 Highland Ave , Clarkston WA 99403-2846 -
Warren L Ellison, M.D.
1207 Evergreen Ct , Clarkston WA 99403-2843 -
Belmont Medical Associates Pllc
1818 Richardson Dr Ste A, Reidsville NC 27320-5450 -
Richard J. Weiland, Jr., M.D.
1207 Evergreen Ct , Clarkston WA 99403-2843 -
Simpsonville Family Medicine, Pa
1336 Highway 14 , Simpsonville SC 29681